Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00932 | Date 12/02/2020 |
| Token No | SM/25-26/9250 16/10/2025 | Serial | 050 |
| Patient Name | Mrs. SIKHA CHAKRABORTY | Contact No | 9163076293 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||